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Title of Journal: Int Urogynecol J

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Abbravation: International Urogynecology Journal

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Springer London

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DOI

10.1007/3-540-48051-X_14

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1433-3023

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The effect of sacral neuromodulation on pregnancy

Authors: Amr Mahran Alex Soriano Ahmed S Safwat Adonis Hijaz Sangeeta T Mahajan Emanuel C Trabuco Steven W Siegel Sherif A ElNashar
Publish Date: 2017/02/03
Volume: 28, Issue: 9, Pages: 1357-1365
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Abstract

Out of 2316 eight studies were included comprising 22 patients 26 pregnancies SNM indications were Fowler’s syndrome in 11 urinary retention in 6 fecal incontinence in 1 fecal and urinary urgency in 1 overactive bladder in 1 intractable interstitial cystitis in 1 and myelodysplasia in 1 SNM stayed on in 8 pregnancies In the remaining 18 pregnancies in which the device was deactivated 7 had recurrent urinary tract infections including 1 with pyelonephritis and 2 who requested reactivation owing to recurrent symptoms Outcomes were reported in 25 pregnancies 16 had Cesarean section CS and 9 had vaginal delivery including 2 operative deliveries Out of 25 two infants had pilonidal sinus and motor tic disorder exhibited at the age of 2 years both from the same mother After delivery SNM was functioning in 15 60 4 required reprogramming and 3 required replacement 1 had recurrence of fecal incontinence after her operative delivery with evidence of displaced leads and 1 patient reported decreased SNM effects after her two CS and 3 decided to remove the device 2 out of 3 patients were free of symptoms after SNM deactivation and requested removal

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